Organization
FORWARD MOMENTUM THERAPEUTIC SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINA RASHID TERRY LCMHCS (OWNER)
(252) 425-7527
Entity
Organization
Contact information
Practice address
116 W CHURCH ST, CREEDMOOR, NC 27522-9747
(252) 425-7527
Mailing address
2227 BAYSWATER DR, CREEDMOOR, NC 27522-7837
(252) 425-7527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083048524
—
NC
Enumeration date
06/14/2022
Last updated
06/15/2022
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